Kecia Marie Blakely MS

NPI 1750602355 - Psychologist - 103T00000X

NPI Details
NPI 1750602355
Gender Female
Enumeration Date 06/17/2010
Last Updated 06/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
308 E 21ST AVE
GARY IN, 46407-2618, US
Phone (219) 886-1320
Fax (219) 886-1319
Business Location
308 E 21ST AVE
GARY IN, 46407-2618, US
Phone (219) 886-1320
Fax (219) 886-1319
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Kecia Marie Blakely MS NPI is 1750602355, taxonomy code is 103T00000X Kecia Marie Blakely MS physically located at 308 E 21st Ave, Gary IN, 46407-2618. NPI Number Kecia Marie Blakely MS has the Individual type.

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1750602355 NPI number is provided on an as is basis without warranty of any kind. 1750602355 is maintained by the National Plan & Provider Enumeration System. The contents of Kecia Marie Blakely MS are for informational purposes only.